Pub Date : 2023-05-06DOI: 10.1177/00178969231171886
James E Clark, Emily Sirois
The use of diet and exercise has become the cornerstone to treatment of overfatness issues. Yet, the implementation of such factors into lifestyle changes has not been able to meet intrinsic expectations or desires and has led to continuous repetition of short-term success within a coercive environment that is followed by rebound leading to secondary short-term success, that is yo-yo’ing. Even though this has become common, there has been little insight into how we might be able to improve suggestions for diet and exercise to better encourage long-term success as opposed to the short-term gains that are regularly met. In this commentary, we offer a narrative review describing how the use of behavioural analytic methodologies and techniques might allow for the development of self-selective lifestyle modifications (e.g. changes to diet, use of exercise) and choices in behaviour that better serve individuals attempting to reverse the health issues associated with overfatness, without the sense of their being coerced into their choices.
{"title":"Coercion versus self-selection when treating issues of overfatness: A narrative review","authors":"James E Clark, Emily Sirois","doi":"10.1177/00178969231171886","DOIUrl":"https://doi.org/10.1177/00178969231171886","url":null,"abstract":"The use of diet and exercise has become the cornerstone to treatment of overfatness issues. Yet, the implementation of such factors into lifestyle changes has not been able to meet intrinsic expectations or desires and has led to continuous repetition of short-term success within a coercive environment that is followed by rebound leading to secondary short-term success, that is yo-yo’ing. Even though this has become common, there has been little insight into how we might be able to improve suggestions for diet and exercise to better encourage long-term success as opposed to the short-term gains that are regularly met. In this commentary, we offer a narrative review describing how the use of behavioural analytic methodologies and techniques might allow for the development of self-selective lifestyle modifications (e.g. changes to diet, use of exercise) and choices in behaviour that better serve individuals attempting to reverse the health issues associated with overfatness, without the sense of their being coerced into their choices.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"82 1","pages":"475 - 486"},"PeriodicalIF":1.3,"publicationDate":"2023-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49165948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-05DOI: 10.1177/00178969231172131
S. Mediratta, P. Mathur
Objectives: This study assessed food label reading habits and understanding of nutrition information on food labels by higher income adults in India. Design: It involved a cross-sectional study using non-probability purposive sampling. Setting: Data were collected by mixed methods approach between March 2019 and February 2020. Adults were selected from housing colonies in four geographical zones of Delhi, India. Method: A total of 589 adults (20–40 years) belonging to upper middle-income and high-income groups were selected. Associations between gender, family income, age, marital status, and label reading habits were assessed using Chi-square tests. Demographic predictors of food label reading habits were identified using binary logistic regression with a level of significance set at p < .05. Results: Participants read the food labels (79%) and noticed the nutrient claims (76%) on food labels. Female participants were more likely to understand nutrition information as compared with male participants (odds ratio [OR] = 1.52, p = .04). Female participants were also more likely to notice the nutrient claims on the packet of food products (OR = 1.99, p < .01) as compared with male participants. The majority of participants found the ‘traffic light scheme’ format easy to understand. Conclusion: Consumers look for nutrition information on food labels. They value healthier food alternatives but most are unable to decipher the nutrition labels. Food labels should communicate the healthfulness of products in a straightforward manner to enable better food choices.
{"title":"Understanding of nutrition information on food labels among higher income adults in India","authors":"S. Mediratta, P. Mathur","doi":"10.1177/00178969231172131","DOIUrl":"https://doi.org/10.1177/00178969231172131","url":null,"abstract":"Objectives: This study assessed food label reading habits and understanding of nutrition information on food labels by higher income adults in India. Design: It involved a cross-sectional study using non-probability purposive sampling. Setting: Data were collected by mixed methods approach between March 2019 and February 2020. Adults were selected from housing colonies in four geographical zones of Delhi, India. Method: A total of 589 adults (20–40 years) belonging to upper middle-income and high-income groups were selected. Associations between gender, family income, age, marital status, and label reading habits were assessed using Chi-square tests. Demographic predictors of food label reading habits were identified using binary logistic regression with a level of significance set at p < .05. Results: Participants read the food labels (79%) and noticed the nutrient claims (76%) on food labels. Female participants were more likely to understand nutrition information as compared with male participants (odds ratio [OR] = 1.52, p = .04). Female participants were also more likely to notice the nutrient claims on the packet of food products (OR = 1.99, p < .01) as compared with male participants. The majority of participants found the ‘traffic light scheme’ format easy to understand. Conclusion: Consumers look for nutrition information on food labels. They value healthier food alternatives but most are unable to decipher the nutrition labels. Food labels should communicate the healthfulness of products in a straightforward manner to enable better food choices.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"82 1","pages":"461 - 472"},"PeriodicalIF":1.3,"publicationDate":"2023-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49617139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-04DOI: 10.1177/00178969231168210
Blake Peck, L. Bray, A. Dickinson, J. Blamires, D. Terry, B. Carter
Background: Little is known about the health literacy of children living with long-term conditions. This study aimed to gain insight into the life of children with a long-term condition in the context of health literacy, specifically their understanding of their health and the barriers and facilitators to sharing information about their condition with others. Design: Child-centred qualitative arts-based approach with children aged 6–12 years. Setting: Children participating in the study came from three countries – the UK, Australia and New Zealand. Method: A participatory arts-based qualitative child-centred approach prompted children to draw, label and use stickers, body-outlines and collage to describe elements central to health literacy. This encompassed their long-term condition, their understanding of their condition, its management and decision-making associated with sharing information about their condition with others. The sessions were audio-recorded, and reflexive thematic analysis was undertaken. Results: Four central themes related to key elements of child health literacy: (1) pragmatic understanding – what it feels like and what happens in my body; (2) management regime – what do I have to do to keep on going; (3) information sharing – I don’t tell random people; and (4) benefits of sharing – they’ve got my back. Conclusion: Children indicated a pragmatic or process type understanding of their condition and its management. Children were discerning about who they shared information about their condition with, but tended to establish a network of well-informed peers capable of providing support if needed. Despite gaps in children’s health literacy, parents and families have an important role to play in checking children’s understandings and developing critical health literacy.
{"title":"Health literacy among children living with a long-term condition: ‘What I know and who I tell’","authors":"Blake Peck, L. Bray, A. Dickinson, J. Blamires, D. Terry, B. Carter","doi":"10.1177/00178969231168210","DOIUrl":"https://doi.org/10.1177/00178969231168210","url":null,"abstract":"Background: Little is known about the health literacy of children living with long-term conditions. This study aimed to gain insight into the life of children with a long-term condition in the context of health literacy, specifically their understanding of their health and the barriers and facilitators to sharing information about their condition with others. Design: Child-centred qualitative arts-based approach with children aged 6–12 years. Setting: Children participating in the study came from three countries – the UK, Australia and New Zealand. Method: A participatory arts-based qualitative child-centred approach prompted children to draw, label and use stickers, body-outlines and collage to describe elements central to health literacy. This encompassed their long-term condition, their understanding of their condition, its management and decision-making associated with sharing information about their condition with others. The sessions were audio-recorded, and reflexive thematic analysis was undertaken. Results: Four central themes related to key elements of child health literacy: (1) pragmatic understanding – what it feels like and what happens in my body; (2) management regime – what do I have to do to keep on going; (3) information sharing – I don’t tell random people; and (4) benefits of sharing – they’ve got my back. Conclusion: Children indicated a pragmatic or process type understanding of their condition and its management. Children were discerning about who they shared information about their condition with, but tended to establish a network of well-informed peers capable of providing support if needed. Despite gaps in children’s health literacy, parents and families have an important role to play in checking children’s understandings and developing critical health literacy.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"82 1","pages":"487 - 504"},"PeriodicalIF":1.3,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48800101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-27DOI: 10.1177/00178969231167093
D. Rosenberg
Objective: To examine the association between older adults’ trust in cancer information and their preference for sources of this type of information. Design: Cross-sectional study. Setting: The USA. Method: The data were obtained from Health Information National Trends Survey 5 Cycle 4 (2020). The sample included older Internet users (N = 1,223). Results: Higher trust in cancer information from doctors and from religious organisations and leaders, as well as lower trust in cancer information from government health agencies and charitable organisations related to a greater preference for doctors. Greater preference for the Internet was a function of lower trust in cancer information from doctors and higher trust in cancer information from government health agencies. Finally, lower trust in cancer information from doctors and higher trust in cancer information from charitable organisations were associated with greater preference for cancer organisations as a primary source of cancer information. Conclusion: The results imply that doctors represent an source of cancer information, trust in which plays an important role with respect to preference for other sources. The results generally suggest that the trust older adults put in cancer information from different sources appears as a major predictor of their preference for the source of this information.
{"title":"Trust in cancer information and source preference in later life","authors":"D. Rosenberg","doi":"10.1177/00178969231167093","DOIUrl":"https://doi.org/10.1177/00178969231167093","url":null,"abstract":"Objective: To examine the association between older adults’ trust in cancer information and their preference for sources of this type of information. Design: Cross-sectional study. Setting: The USA. Method: The data were obtained from Health Information National Trends Survey 5 Cycle 4 (2020). The sample included older Internet users (N = 1,223). Results: Higher trust in cancer information from doctors and from religious organisations and leaders, as well as lower trust in cancer information from government health agencies and charitable organisations related to a greater preference for doctors. Greater preference for the Internet was a function of lower trust in cancer information from doctors and higher trust in cancer information from government health agencies. Finally, lower trust in cancer information from doctors and higher trust in cancer information from charitable organisations were associated with greater preference for cancer organisations as a primary source of cancer information. Conclusion: The results imply that doctors represent an source of cancer information, trust in which plays an important role with respect to preference for other sources. The results generally suggest that the trust older adults put in cancer information from different sources appears as a major predictor of their preference for the source of this information.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"82 1","pages":"505 - 517"},"PeriodicalIF":1.3,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45245506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-22DOI: 10.1177/00178969231165468
J. Rodrigo-Sanjoaquín, J. Bois, A. Aibar Solana, L. Lhuisset, A. Corral-Abós, J. Zaragoza Casterad
Objective: 24-hour movement behaviours can effect sustainable long-term benefits in children, but their implementation and effectiveness have not previously been reviewed in the school setting. Thus, the aim of this scoping review was to provide an overview of school-based interventions targeting physical activity (PA), sedentary behaviour (SB), and sleep in 5–12-year-old children. Design: Scoping review. Methods: A structured bibliographic search of five databases was conducted to retrieve peer-reviewed intervention studies published in English language, between January 2010 and December 2020. Results: Among the 37 studies included with a total sample size of 27,145 primary school-aged children, only one study assessed sleep, PA and SB. The average duration of the intervention studies was between 7 and 10 months. Conclusion: The main gap identified was that current school-based interventions do not include complete 24-hour movement behaviours among children as there is a lack of intervention studies addressing sleep behaviour. In addition, this first international review of 24-hour movement behaviours in a school setting found that the number of intervention studies that incuded follow-up measures is limited, so it is difficult to interpret their sustainability.
{"title":"Are school-based interventions promoting 24-hour movement guidelines among children? A scoping review","authors":"J. Rodrigo-Sanjoaquín, J. Bois, A. Aibar Solana, L. Lhuisset, A. Corral-Abós, J. Zaragoza Casterad","doi":"10.1177/00178969231165468","DOIUrl":"https://doi.org/10.1177/00178969231165468","url":null,"abstract":"Objective: 24-hour movement behaviours can effect sustainable long-term benefits in children, but their implementation and effectiveness have not previously been reviewed in the school setting. Thus, the aim of this scoping review was to provide an overview of school-based interventions targeting physical activity (PA), sedentary behaviour (SB), and sleep in 5–12-year-old children. Design: Scoping review. Methods: A structured bibliographic search of five databases was conducted to retrieve peer-reviewed intervention studies published in English language, between January 2010 and December 2020. Results: Among the 37 studies included with a total sample size of 27,145 primary school-aged children, only one study assessed sleep, PA and SB. The average duration of the intervention studies was between 7 and 10 months. Conclusion: The main gap identified was that current school-based interventions do not include complete 24-hour movement behaviours among children as there is a lack of intervention studies addressing sleep behaviour. In addition, this first international review of 24-hour movement behaviours in a school setting found that the number of intervention studies that incuded follow-up measures is limited, so it is difficult to interpret their sustainability.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"82 1","pages":"444 - 460"},"PeriodicalIF":1.3,"publicationDate":"2023-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43606347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-12DOI: 10.1177/00178969231164039
Monique Santoso, Reena Agrawal, K. Tiwari, Deepa Manjanatha, S. Austin, A. McAdams-Mahmoud, Nadia Craddock, Amanda Raffoul
Objective: Strategic storytelling can be used to reframe dominant cultural narratives and improve community health outcomes. This pilot study assessed the impact of an original, online 3-week e-course, delivered from November to December 2021, in increasing learners’ knowledge of and concern for the seriousness of skin-shade discrimination and the use of skin-lightening products in India, increasing learners’ understanding of storytelling-based communication techniques for public health promotion, and increasing learners’ intentions to use strategic storytelling for social change. Design, Setting and Method: The course used case-method pedagogy to address colourism and cosmetic skin lightening. Learners (N = 25) completed a pre-course baseline survey on their knowledge and concerns regarding colourism and the use of skin-lightening products, as well as their expectations and interests in taking the course. Following course completion, learners completed a post-webinar survey. The Wilcoxon Signed-Rank test was used to assess differences from pre- to post-course surveys on quantitative items. Open-ended responses were also analysed using qualitative content analysis for recurring themes on learner interest and experience. Results: From pre- to post-course surveys, there were significant improvements in learners’ knowledge of skin shade discrimination and the use of skin-lightening products (p < .05). Learners indicated being more concerned about the seriousness of skin shade discrimination post-course compared to pre-course. Learners also described a positive learning experience and indicated that the e-course enhanced their understanding of strategic storytelling. Conclusion: Findings highlight the importance of an original e-course that uses case-method pedagogy to build knowledge and skills that addresses the impacts of colourism on the health of Indian adolescents and provides new directions for future research on health education interventions that aim to tackle colourism.
{"title":"Tackling colourism through storytelling in an online course for public health professionals","authors":"Monique Santoso, Reena Agrawal, K. Tiwari, Deepa Manjanatha, S. Austin, A. McAdams-Mahmoud, Nadia Craddock, Amanda Raffoul","doi":"10.1177/00178969231164039","DOIUrl":"https://doi.org/10.1177/00178969231164039","url":null,"abstract":"Objective: Strategic storytelling can be used to reframe dominant cultural narratives and improve community health outcomes. This pilot study assessed the impact of an original, online 3-week e-course, delivered from November to December 2021, in increasing learners’ knowledge of and concern for the seriousness of skin-shade discrimination and the use of skin-lightening products in India, increasing learners’ understanding of storytelling-based communication techniques for public health promotion, and increasing learners’ intentions to use strategic storytelling for social change. Design, Setting and Method: The course used case-method pedagogy to address colourism and cosmetic skin lightening. Learners (N = 25) completed a pre-course baseline survey on their knowledge and concerns regarding colourism and the use of skin-lightening products, as well as their expectations and interests in taking the course. Following course completion, learners completed a post-webinar survey. The Wilcoxon Signed-Rank test was used to assess differences from pre- to post-course surveys on quantitative items. Open-ended responses were also analysed using qualitative content analysis for recurring themes on learner interest and experience. Results: From pre- to post-course surveys, there were significant improvements in learners’ knowledge of skin shade discrimination and the use of skin-lightening products (p < .05). Learners indicated being more concerned about the seriousness of skin shade discrimination post-course compared to pre-course. Learners also described a positive learning experience and indicated that the e-course enhanced their understanding of strategic storytelling. Conclusion: Findings highlight the importance of an original e-course that uses case-method pedagogy to build knowledge and skills that addresses the impacts of colourism on the health of Indian adolescents and provides new directions for future research on health education interventions that aim to tackle colourism.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"82 1","pages":"430 - 443"},"PeriodicalIF":1.3,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44006382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-10DOI: 10.1177/00178969231163405
Johan Högman, Christian Augustsson
Aim: As more children become increasingly physically inactive, efforts to reverse this negative trend are growing. Research has indicated, however, that we know relatively little about the pedagogical processes built into programmes and interventions. This is especially true in respect of how children view the process of becoming more physically active. This article therefore explores developmental processes as they unfold in the context of alternative sports programmes through children’s voices. Methods: Theoretically, children’s development is approached from a bioecological perspective focusing on the interaction between the child and its environment. This article builds on material collected from 5 focus groups conducted with 16 children in total (aged 11–15 years) after participating in an alternative sports programme. The data were analysed abductively using a qualitative content analysis technique. Findings: Findings illustrate how children develop physically active behaviours internally, as they acquire certain skills and knowledge, as well as between children and a multisystemic environment. In this study, children experienced that exploring practical activities in authentic situations could contribute to better understanding of the relationship between themselves and physical activities in their local community. Conclusion: To enable development in interventions, paying attention to the extent to which exo- and mesosystems influence children’s relationships with the outside world is key. Participation may lead to an improved understanding of the surrounding world and the ability to further develop in an increasingly complex reciprocal process with the environment.
{"title":"Children’s experiences of development in alternative sports programmes","authors":"Johan Högman, Christian Augustsson","doi":"10.1177/00178969231163405","DOIUrl":"https://doi.org/10.1177/00178969231163405","url":null,"abstract":"Aim: As more children become increasingly physically inactive, efforts to reverse this negative trend are growing. Research has indicated, however, that we know relatively little about the pedagogical processes built into programmes and interventions. This is especially true in respect of how children view the process of becoming more physically active. This article therefore explores developmental processes as they unfold in the context of alternative sports programmes through children’s voices. Methods: Theoretically, children’s development is approached from a bioecological perspective focusing on the interaction between the child and its environment. This article builds on material collected from 5 focus groups conducted with 16 children in total (aged 11–15 years) after participating in an alternative sports programme. The data were analysed abductively using a qualitative content analysis technique. Findings: Findings illustrate how children develop physically active behaviours internally, as they acquire certain skills and knowledge, as well as between children and a multisystemic environment. In this study, children experienced that exploring practical activities in authentic situations could contribute to better understanding of the relationship between themselves and physical activities in their local community. Conclusion: To enable development in interventions, paying attention to the extent to which exo- and mesosystems influence children’s relationships with the outside world is key. Participation may lead to an improved understanding of the surrounding world and the ability to further develop in an increasingly complex reciprocal process with the environment.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"82 1","pages":"403 - 414"},"PeriodicalIF":1.3,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47061001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1177/00178969231157699
Erin K Maloney, Amy Bleakley, Robin Stevens, Morgan Ellithorpe, Amy Jordan
Objective: This study aimed to examine urban adolescents' beliefs about sports and energy drinks to identify factors for health messaging to discourage youth consumption.
Design: Focus group study involving thirty-four adolescents in urban areas (12 female, 12 male, and 10 unreported sex; 19 Hispanic, 11 Non-Hispanic Black, 2 Asian, and 1 unknown race or ethnicity).
Setting: Four focus groups were conducted with adolescents in urban areas.
Method: Each on-time moderated group discussion was structured to generate an inventory of attitudinal, normative and efficacy beliefs associated with sports and energy drink consumption and reduction. Thematic analysis was used to analyse the data.
Results: Attitudinal and normative beliefs were more positive towards sports drink consumption and energy drink reduction. Misperceptions about the need for sports drinks to avoid dehydration during physical activity were evident. Product accessibility and advertising pervasiveness were facilitators influencing consumption and barriers to reduction for both products.
Conclusion: Results highlight important differences in perceptions about sports and energy drinks that indicate the need for different approaches and messages for interventions designed to curb consumption of these products. Recommendations for message design are provided.
{"title":"Urban Youth Perceptions of Sports and Energy Drinks: Insights for Health Promotion Messaging.","authors":"Erin K Maloney, Amy Bleakley, Robin Stevens, Morgan Ellithorpe, Amy Jordan","doi":"10.1177/00178969231157699","DOIUrl":"https://doi.org/10.1177/00178969231157699","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine urban adolescents' beliefs about sports and energy drinks to identify factors for health messaging to discourage youth consumption.</p><p><strong>Design: </strong>Focus group study involving thirty-four adolescents in urban areas (12 female, 12 male, and 10 unreported sex; 19 Hispanic, 11 Non-Hispanic Black, 2 Asian, and 1 unknown race or ethnicity).</p><p><strong>Setting: </strong>Four focus groups were conducted with adolescents in urban areas.</p><p><strong>Method: </strong>Each on-time moderated group discussion was structured to generate an inventory of attitudinal, normative and efficacy beliefs associated with sports and energy drink consumption and reduction. Thematic analysis was used to analyse the data.</p><p><strong>Results: </strong>Attitudinal and normative beliefs were more positive towards sports drink consumption and energy drink reduction. Misperceptions about the need for sports drinks to avoid dehydration during physical activity were evident. Product accessibility and advertising pervasiveness were facilitators influencing consumption and barriers to reduction for both products.</p><p><strong>Conclusion: </strong>Results highlight important differences in perceptions about sports and energy drinks that indicate the need for different approaches and messages for interventions designed to curb consumption of these products. Recommendations for message design are provided.</p>","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"82 3","pages":"324-335"},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10205042/pdf/nihms-1895059.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9514155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-07DOI: 10.1177/00178969231159960
N. Bolter, Daria Sosna, M. Arauzo, G. George
Background: Weight stigma and bias are present in education, employment, and health care institutions, and have increased in recent years. College students in pre-health majors have been documented to hold weight biases, and interventions to mitigate these beliefs have had varying results. Objectives: This study’s purpose was to assess the impact of a pedagogical intervention regarding weight stigma outcomes among first-year students. Method: Three instructors of lower-division health and social science courses implemented a 3-module lecture series on weight stigma, the environmental sources of weight variability, and body appreciation. Participants (N = 81; 48 from intervention (INT) classrooms, 33 from comparison [COM] classrooms) completed an end-of-semester survey regarding their anti-fat biases, fat phobia, and body appreciation, and a subset (n = 13) participated in a semi-structured interview about their experiences. Results: Results revealed no outcome differences between the treatment versus comparison groups, although self-reported body mass index (BMI) was a significant covariate (p = .008). A significant correlation emerged between BMI and fear of fat scores for COM (r = .52, p < .01) but not for INT students (r = .28, p > .05), suggesting the intervention may have impacted how students form their anti-fat biases in relation to their BMI. Qualitative findings yielded five themes – connected course material with personal experiences; learned about weight stigma; shifted perspective on weight stigma; recognised application of weight stigma; material to future career; and valued learning about weight stigma – that provided insight into how the intervention positively affected students. Conclusion: Informed by the findings from this study, future interventions should take a more immersive pedagogical approach.
背景:体重歧视和偏见存在于教育、就业和卫生保健机构中，并且近年来有所增加。据记载，健康预科专业的大学生有体重偏见，减轻这些偏见的干预措施产生了不同的结果。目的:本研究的目的是评估教学干预对一年级学生体重耻辱感结果的影响。方法:三名低年级健康与社会科学课程的教师实施了一套3单元的系列讲座，内容涉及体重耻辱感、体重变异的环境来源和身体欣赏。参与者(N = 81;来自干预班(INT)的48人，来自比较班(COM)的33人完成了一项关于他们的反肥胖偏见、肥胖恐惧症和身体欣赏的期末调查，其中一部分(n = 13)参加了关于他们经历的半结构化访谈。结果:结果显示治疗组与对照组之间没有结果差异，尽管自我报告的体重指数(BMI)是一个显著的协变量(p = 0.008)。COM学生的BMI和对脂肪的恐惧得分之间存在显著的相关性(r = 0.52, p < 0.01)，而INT学生则没有(r = 0.28, p < 0.05)，这表明干预可能影响了学生如何形成与BMI相关的反脂肪偏见。定性研究结果产生了五个主题——将课程材料与个人经历联系起来;了解了体重耻辱感;改变了对体重病耻感的看法;重量污名的公认应用;材料给未来的事业;并且重视了解体重歧视——这让我们了解了干预是如何对学生产生积极影响的。结论:根据本研究的发现，未来的干预措施应该采取更加沉浸式的教学方法。
{"title":"Changing perspectives among pre-health undergraduates through a brief weight bias pedagogical intervention","authors":"N. Bolter, Daria Sosna, M. Arauzo, G. George","doi":"10.1177/00178969231159960","DOIUrl":"https://doi.org/10.1177/00178969231159960","url":null,"abstract":"Background: Weight stigma and bias are present in education, employment, and health care institutions, and have increased in recent years. College students in pre-health majors have been documented to hold weight biases, and interventions to mitigate these beliefs have had varying results. Objectives: This study’s purpose was to assess the impact of a pedagogical intervention regarding weight stigma outcomes among first-year students. Method: Three instructors of lower-division health and social science courses implemented a 3-module lecture series on weight stigma, the environmental sources of weight variability, and body appreciation. Participants (N = 81; 48 from intervention (INT) classrooms, 33 from comparison [COM] classrooms) completed an end-of-semester survey regarding their anti-fat biases, fat phobia, and body appreciation, and a subset (n = 13) participated in a semi-structured interview about their experiences. Results: Results revealed no outcome differences between the treatment versus comparison groups, although self-reported body mass index (BMI) was a significant covariate (p = .008). A significant correlation emerged between BMI and fear of fat scores for COM (r = .52, p < .01) but not for INT students (r = .28, p > .05), suggesting the intervention may have impacted how students form their anti-fat biases in relation to their BMI. Qualitative findings yielded five themes – connected course material with personal experiences; learned about weight stigma; shifted perspective on weight stigma; recognised application of weight stigma; material to future career; and valued learning about weight stigma – that provided insight into how the intervention positively affected students. Conclusion: Informed by the findings from this study, future interventions should take a more immersive pedagogical approach.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"82 1","pages":"361 - 375"},"PeriodicalIF":1.3,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41529855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-07DOI: 10.1177/00178969231159968
Wen Xu, M. Cheung
Objective: This study examined three dimensions of parental engagement in Child Sexual Abuse (CSA) prevention education (knowledge, attitudes and practices) to determine whether increased knowledge and attitudes favouring CSA education led to increases in parental behaviours while controlling for multiple factors. Design: A random, digitally selected sample of 508 Hong Kong parents with at least one child in primary school answered a 47-question telephone survey designed by social workers and educators at a local community agency. Method: Parental knowledge and attitudes were measured by scales, scored from 5 to 25 each. Three variables measured parental practices: sex-related topics discussed with the referenced child, CSA-prevention learning methods and a weighted score of CSA-prevention discussions. Univariate tests and multivariate analysis of covariance (MANCOVA) were used to analyse the data. Results: A two-way MANCOVA indicated that attitudes were significantly associated with all the parental practices measured, while knowledge was correlated only with the covered sex-related topics. Parental gender and child gender revealed statistically significant differences in the results. Conclusion: To encourage parental engagement in CSA prevention, educators can empower parents to take on the roles of supporters, planners, implementers and collaborators to deliver sexual health education. Praxis-oriented topics such as ‘how to talk to children’ in a standardised CSA curriculum may improve parental participation and increase their motivation to become peer trainers.
{"title":"Parental engagement in child sexual abuse prevention education in Hong Kong","authors":"Wen Xu, M. Cheung","doi":"10.1177/00178969231159968","DOIUrl":"https://doi.org/10.1177/00178969231159968","url":null,"abstract":"Objective: This study examined three dimensions of parental engagement in Child Sexual Abuse (CSA) prevention education (knowledge, attitudes and practices) to determine whether increased knowledge and attitudes favouring CSA education led to increases in parental behaviours while controlling for multiple factors. Design: A random, digitally selected sample of 508 Hong Kong parents with at least one child in primary school answered a 47-question telephone survey designed by social workers and educators at a local community agency. Method: Parental knowledge and attitudes were measured by scales, scored from 5 to 25 each. Three variables measured parental practices: sex-related topics discussed with the referenced child, CSA-prevention learning methods and a weighted score of CSA-prevention discussions. Univariate tests and multivariate analysis of covariance (MANCOVA) were used to analyse the data. Results: A two-way MANCOVA indicated that attitudes were significantly associated with all the parental practices measured, while knowledge was correlated only with the covered sex-related topics. Parental gender and child gender revealed statistically significant differences in the results. Conclusion: To encourage parental engagement in CSA prevention, educators can empower parents to take on the roles of supporters, planners, implementers and collaborators to deliver sexual health education. Praxis-oriented topics such as ‘how to talk to children’ in a standardised CSA curriculum may improve parental participation and increase their motivation to become peer trainers.","PeriodicalId":47346,"journal":{"name":"Health Education Journal","volume":"82 1","pages":"376 - 389"},"PeriodicalIF":1.3,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47734313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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